Jo G Theisen, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2599 Issued in MN

Practice address

8465 W Broadway Ave
Brooklyn Park, MN 55445-2266

Phone

(763) 424-7750

Fax

(763) 424-3444

NPI assigned

Oct 23, 2006

Last updated

Feb 16, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rooted Wellness Chiropractic, PLLCGroup PAC ID 7517467038, 2 clinicians

Jo G Theisen DC, PAGroup PAC ID 7214934579, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jo G Theisen DC, PA

  dba Family Chiropractic Health Service

  • Chiropractor
  • Brooklyn Park, MN
  • NPI 1952484602
  Medicare reassignment Care Compare group NPD
• Rooted Wellness Chiropractic, PLLC

  • Chiropractor
  • Brooklyn Park, MN
  • NPI 1588555494
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1730262494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8465 W BROADWAY AVE",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554452266",
            "telephone_number": "763-424-7750",
            "fax_number": "763-424-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8465 W BROADWAY AVE",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554452266",
            "telephone_number": "763-424-7750",
            "fax_number": "763-424-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEISEN",
        "first_name": "JO",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FACILITY",
            "identifier": "1952484602",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "416728700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.